Retina & Vitreous L L C

LBN: Retina & Vitreous L L C
Retina & Vitreous L L C is an health care organization with primary practice located at 53822 Generations Drive , South Bend IN 46635-1543. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Retina & Vitreous L L C can be contacted via phone (574) 233-3711, or through Lee, Robert T via phone (574) 233-3711.

Contact Information

Primary practice address
53822 Generations Drive South Bend IN 46635-1543
Phone: (574) 233-3711
Fax: (574) 288-1702
Website:
Map and Directions
Authorized official contact:
Name: Lee, Robert T Doctor of Medicine (MD)
Phone: (574) 233-3711

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1093999609
LBN Legal business name Retina & Vitreous L L C
DBA Doing business as
Authorized official Lee, Robert T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Jul 12th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093999609 NPPES
Indiana Other 000000549277 ANTHEM
Indiana MEDICAID 200883090 ANTHEM

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